American Samoa Indigenous Samoan Partnership to Initiate REsearch Excellence (INSPIRE) in Colorectal Cancer Health Literacy

项目摘要 关于美属萨摩亚人健康状况的信息很少，而且 美属萨摩亚的研究基础设施需要有足够的基础和能力 建设开展大规模人口健康研究。本项目的目的是：(1) 在美属萨摩亚建立进行人口健康研究的研究能力，以及(2) 支持旨在提高结直肠癌筛查素养的试点健康研究项目 在美属萨摩亚人中，这样就可以获得初始数据，作为 未来在美属萨摩亚的研究工作。该项目是一个协作社区， 研究参与的努力反映了社区确定的优先事项，作为解决 健康促进和癌症预防方面的研究差距。美国人的百分比 50-75岁的萨摩亚成年人接受结直肠癌筛查远远低于美国全国平均水平，即， 7%的美属萨摩亚人与58.2%的美国成年人相比。对健康素养水平的评估 在特定人群中被推荐，并在开发中使用评估结果 有针对性和量身定做的促销计划。 拟议的土著萨摩亚人启动卓越研究计划(INSPIRE)--CRC 识字。(INSPIRE)旨在：(1)通过提供技术援助来加强研究能力 关于研究方案、IRB培训和开发易于访问的癌症数据 资料库，(2)改编/试行成人功能健康素养简式测验(STOFHL) 并对通过响应者招募的具有代表性的老年人样本进行修订 驱动抽样方法，以及(3)在STOFHL结果的通知下，开发和实施 文化能力、语言适当性和理论知情的筛查干预，使用 两组治疗前控制组比较，采用知识-态度测量- 在评价和评估主要结果的几个点上的行为(KAB)调查 即及时完成粪便潜血检测(FOBT)。激励工作将由以下人员领导 AS社区癌症联盟与LBJ热带医学中心(LBJTMC)合作， 卫生署及有关顾问的专责技术协助 与夏威夷大学和加利福尼亚州阿祖萨太平洋大学合作，顾问 在健康素养、RDS、癌症筛查研究、STOFHL、社区方面的专业知识 参与式方法、多模式研究/评价战略和积极的历史 与AS合作伙伴协作。这一努力应该会导致更多的筛查使用和 有助于为未来的翻译研究奠定基础。鼓舞人心的研究成果 对AS意义重大，因为它为系统性公共卫生奠定了亟需的基础 研究。此外，激励研究将有助于健康科学的进步 与资源贫乏但传统丰富的土著社区一起/为资源贫乏但传统丰富的土著社区促进扫盲和健康 从而为消除社会建构的有害健康提供了充满希望的前景 不平等。

Project Abstract Very little information regarding the health status of American Samoans are available, and the research infrastructure in America Samoa (AS) requires a sufficient foundation and capacity building to conduct large-scale population health research. The purpose of this project is to: (1) build the research capacity in America Samoa to conduct population health research, and (2) to support a pilot health research project that aims to increase colorectal cancer screening literacy among American Samoans so that initial data will be available and serve as the foundation for future research efforts in America Samoa. This project is a collaborative community and research engaged effort that reflects the community-identified priorities in AS addressing a research gaps in health promotion and cancer prevention. The percentage of American Samoan adults aged 50-75 obtaining CRC screening is far below the US national average, i.e., 7% of American Samoans vs. 58.2% of US adults. Assessment of health literacy levels has been recommended in specific populations and to use assessment results in developing targeted and tailored promotional programs. The proposed Indigenous Samoan Program to Initiate Research Excellence (INSPIRE) – CRC Literacy. (INSPIRE) aims to: (1) strengthen research capacity by providing technical assistance on research protocol, IRB training, and development of an easily accessed cancer data repository, (2) adapt/pilot the Short form Test of Functional Health Literacy – Adults (STOFHLA) and administer revision to a representative sample of older adults recruited through Respondent Driven Sampling methods, and (3) informed by STOFHLA results, develop and implement a culturally competent, linguistically appropriate, and theory-informed screening intervention, use of a 2 group pre-post control group comparison, with measurement of Knowledge-Attitude- Behavior (KAB) survey at several points of evaluation and assessment of the primary outcome namely, timely completion of Fecal Occult Blood Test (FOBT). INSPIRE efforts will be led by the AS Community Cancer Coalition in partnership with LBJ Tropical Medical Center (LBJTMC), the AS Department of Health and dedicated technical assistance from consultants associated with the University of Hawai`i and Azusa Pacific University in California, with consultant expertise in health literacy, RDS, cancer screening research, STOFHLA, community-based participatory approaches, multi-modal research/evaluation strategies, and history of positive collaboration with AS partners. This effort should result in increased screening use and contribute to building a foundation for future translational research. INSPIRE-produced research is significant for AS because it lays a much needed foundation for systematic public health research. Further, INSPIRE research will contribute to advancement in the science of health literacy and health promotions with/for resource-poor, yet tradition-rich Indigenous communities thereby, offering the hopeful prospect of eliminating socially-constructed and harmful health inequalities.